Miller-McEntire Periodontal Prognostic Indexwww.pdmillerswebtextbook.com

If the A1C score is unknown, assign it a

score of 2

Periodontal Treatment Planning Worksheet (Circle all that apply)

1 CLINICAL SIGNS OF PERIODONTAL DISEASE 2 PREDISPOSING (ETIOLOGIC) FACTORS

TISSUE CHANGES

(pre probing) Redness Edema Loss of Stippling Fibrotic Tissue Absence of knife edge margins Enlarged Tissue Blunted Papilla Frenal Involvement

GINGIVAL DEFECTS

(during probing) Attached/Unattached Recession BOP

*CLINICAL ATTACHMENT LOSS

Recession Probing Depth Bone Loss

ELIMINATE CONTROL or ALTER

Defective Restorations Open Contacts Uneven Marginal Ridges Plunger Cusps Food Impaction Ill-fitting Prosthesis **Smoking/Smokeless Tobacco **Intraoral Jewelry Occlusal Disease **Toothbrush Abrasion

**Plaque **Calculus **Systemic Factors

**Diet **Patient’s Responsibility

3 QUANTITATING BLEEDING ON PROBING 4 TREATMENT FOCUSED DIAGNOSIS

SLIGHT (trace) – Delayed = minimal inflammatory response

MODERATE – Spontaneous = greater inflammatory response

SEVERE – Profuse and persistent = and even greater inflammatory response

HEALTH

HEALTH W/ATTACHMENT LOSS

GINGIVITIS: GENERALIZED LOCALIZED (AREA)

(______)

PERIODONTITIS:

GENERALIZED

SLIGHT (5MM) MODERATE (6-7MM) SEVERE (>7MM)

LOCALIZED

SLIGHT MODERATE SEVERE

(AREA)

(______) (______) (______)

5 TREATMENT OPTIONS 6 TREATMENT FOR BAD BREATH

HEALTH

EVALUATE OHI SCALE POLISH

GINGIVITIS

OHI SCALE POLISH RE-EVALUATE

PERIODONTITIS

OHI SCALE ROOT PLANING RE-EVALUATE

ONCE YOU BRUSH AND FLOSS use a tongue scraper to

remove bacteria on the posterior 1/3 of the tongue.

This area of the tongue contains sulfur forming bacteria that give off the smell of rotten eggs.

Tongue Scraper – Tongue Sweeper (Biocurv Medical)

www.tonguesweeper.com; (800) 589 - 3043

60% of bacterial removal from the tooth surface is by brushing alone 40% of bacterial removal from tooth surface is by flossing 90% of remaining bacteria after brushing and flossing are found on the posterior 1/3 of the tongue